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After 18 days (D24) of L-carnitine intervention, the four groups of mice were sacrificed using 4% isoflurane, then blood and tissue samples were collected and evaluated

ClinicalTrials.gov
(36) found no significant liver enzyme improvement in pediatric patients, primarily based on a single pediatric study that itself showed no clear benefit (68)

PMID: 16901595

The main reason propionyl L-carnitine works for ED is its ability to improve blood flow to the penis
